Individual
BIANCA DE ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1610 TREMONT ST, ROXBURY CROSSING, MA 02120-1613
(978) 878-8100
Mailing address
75 SAINT ALPHONSUS ST APT 308, BOSTON, MA 02120-1698
(209) 648-3120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000905
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/29/2024
Last updated
08/04/2025
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